Endoscopy Center, The Xiang'an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, 361101, Fujian, China.
Department of Orthopaedics, The Xiang'an Hospital of Xiamen University, School of Medicine, Xiamen University, No. 2000, Xiang'an East Road, Xiang'an District, Xiamen, 361101, China.
Psychiatr Q. 2021 Mar;92(1):49-62. doi: 10.1007/s11126-020-09783-w.
Diabetes mellitus (DM) is one of the remarkable disease challenges in the twenty-first century and poses threat to patients' physical health. Given the difficulty of treatment and the high possibility of relapse, patients often have mental illness. A total of 117 patients with type 2 DM were randomly divided into two groups for a 2-month intervention. The intervention group underwent an Information-Motivation-Behavioral skills (IMB) intervention program based on protection motivation theory, and traditional intervention was applied to the control group. No significant difference is found between the intervention and control groups before the intervention (P > 0.05). However, after the intervention, the blood glucose level and depression score of the intervention group are lower than those of the control group (P < 0.05), and the psychological resilience and quality of life are significantly higher than those of the control group (P < 0.05). The blood glucose level and depression score of the intervention group decrease after the intervention (P < 0.05), and the psychological resilience and quality of life are significantly increase (P < 0.05). No significant difference is found in the blood glucose level, depression, psychological resilience, and quality of life of the control group before and after the intervention (P > 0.05). The combination of IMB intervention and protection motivation theory is important to improving the psychological resilience of patients with type 2 DM, raising their quality of life and reducing their blood glucose level.
糖尿病（DM）是 21 世纪值得关注的疾病挑战之一，对患者的身体健康构成威胁。由于治疗难度大、复发可能性高，患者常伴有精神疾病。将 117 例 2 型 DM 患者随机分为两组，进行为期 2 个月的干预。干预组采用基于保护动机理论的信息-动机-行为技能（IMB）干预方案，对照组采用传统干预。干预前，干预组与对照组之间无显著差异（P>0.05）。然而，干预后，干预组的血糖水平和抑郁评分均低于对照组（P<0.05），心理弹性和生活质量显著高于对照组（P<0.05）。干预后，干预组的血糖水平和抑郁评分降低（P<0.05），心理弹性和生活质量显著提高（P<0.05）。对照组干预前后血糖水平、抑郁、心理弹性和生活质量无显著差异（P>0.05）。IMB 干预与保护动机理论相结合，对提高 2 型 DM 患者的心理弹性、提高生活质量、降低血糖水平具有重要意义。
